Malaria control in Afghanistan: progress and challenges
Malaria control in Afghanistan: progress and challenges
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DOI：
10.1016/s0140-6736(05)66423-9
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发表时间：
2005-04-23
期刊：
影响因子：
168.9
通讯作者：
Rowland, M
中科院分区：
文献类型：
--
作者：
Kolaczinski, J;Graham, K;Rowland, M
从20世纪50年代到1979年，阿富汗的疟疾控制是通过政府管理的垂直方案实施的，但到20世纪90年代初，原始方案几乎没有发挥作用。包括疟疾诊断和治疗在内的基本卫生保健服务由非政府组织和联合国机构提供，这些组织从巴基斯坦和伊朗组织跨境行动，对纵向方案规划的重视程度要低得多。从1992年起，阿富汗东部的局势稳定下来，得以建立一个由非政府组织支助的诊所网络，并在一个专门研究疟疾的牵头机构的协调下，对显微镜工作者和临床工作人员进行标准化培训和监测。在2001年塔利班垮台和随后成立临时政府之后，已经采取了恢复卫生系统的初步步骤。计划逐步将疟疾防治纳入日常保健服务。这一进程应以在复杂的紧急情况中获得的知识和经验为指导，并应继续注重疟疾，直到疾病得到控制。
From the 1950s until 1979 malaria control in Afghanistan was implemented through a vertical programme managed by the government, but little of the original programme remained functional by the early 1990s. Delivery of basic health care including malaria diagnosis and treatment was done by non-governmental organisations (NGOs) and UN agencies, which organised cross-border operations from Pakistan and Iran and placed much less emphasis on vertical programming. From 1992 the situation in the east of Afghanistan became stable enough to allow the establishment of a network of NGO-supported clinics and to introduce standardised training and monitoring of microscopists and clinical staff, coordinated by a lead agency specialising in malaria. After the collapse of the Taliban in 2001 and the subsequent establishment of an interim government, the first steps in health-system rehabilitation have been taken. The gradual integration of malaria control into routine health-care delivery is planned. This process should be guided by the knowledge and experience gained during the complex emergency and a focus on malaria should be maintained until the disease is brought under control.